Klement Kristen A, Black Jonathan S, Vanlue Michael J, Denny Arlen D
Department of Plastic Surgery, Medical College of Wisconsin, Milwaukee, WI.
Department of Plastic Surgery, University of Virginia, Charlottesville, VA.
J Craniofac Surg. 2018 Jun;29(4):946-948. doi: 10.1097/SCS.0000000000004418.
A unilateral deficit in velopharyngeal closure during speech production is an unusual presentation of velopharyngeal dysfunction (VPD) and few solutions have been described for this problem. This report details the long-term outcomes using this technique. We performed a retrospective chart review of all the patients who underwent a unilateral Orticochea pharyngoplasty for VPD. The authors identified 10 patients treated with 11 unilateral pharyngoplasty at a single tertiary care institutional setting. The mean age at repair was 8.6 years. The mean length of follow-up was 7.6 years. All the patients demonstrated improvement in velopharyngeal closure and speech resonance with 4 showing complete resolution of VPD. There were no revisions required or complications. One patient, after 10.7 years, required a unilateral procedure on the contralateral side which resulted in complete resolution of VPD postoperatively.
言语产生过程中腭咽闭合单侧功能不全是腭咽功能障碍（VPD）的一种不常见表现，针对这一问题的解决方案鲜有描述。本报告详细介绍了使用该技术的长期效果。我们对所有接受单侧奥尔蒂乔亚咽成形术治疗VPD的患者进行了回顾性病历审查。作者在单一的三级医疗机构中确定了10例接受11次单侧咽成形术治疗的患者。修复时的平均年龄为8.6岁。平均随访时间为7.6年。所有患者的腭咽闭合和语音共鸣均有改善，4例VPD完全缓解。无需进行翻修手术，也未出现并发症。1例患者在10.7年后需要对侧进行单侧手术，术后VPD完全缓解。
